The Long-term Visual Outcomes of Primary Congenital Glaucoma
| Autor: | Kiana Hassanpour, Sudhi P. Kurup, Hawke Yoon, Alisa J. Prager, Rebecca Mets-Halgrimson, Janice Lasky Zeid, Esfandiari H, Marilyn B. Mets, Bahram Rahmani |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Ophthalmology visual function Glaucoma surgery medicine ab externo trabeculotomy Dioptre business.industry Primary congenital glaucoma stereopsis Trabeculotomy eye diseases Stereoscopic acuity lcsh:RE1-994 030221 ophthalmology & optometry Original Article Pediatric ophthalmology primary congenital glaucoma sense organs medicine.symptom business long-term outcomes 030217 neurology & neurosurgery |
| Zdroj: | Journal of Ophthalmic & Vision Research, Vol 15, Iss 3, Pp 326-330 (2020) Journal of Ophthalmic & Vision Research |
| ISSN: | 2008-322X 2008-2010 |
| DOI: | 10.18502/jovr.v15i3.7451 |
| Popis: | Purpose: To evaluate the long-term visual outcomes of ab externo trabeculotomy for primary congenital glaucoma (PCG) at a single pediatric ophthalmology center. Methods: In this retrospective single-center case series, data from 63 eyes of 40 patients who underwent ab externo trabeculotomy between September 2006 and June 2018 were included. The data were analyzed for best corrected visual acuity (BCVA), stereopsis, and surgical success. Kaplan–Meier analysis was performed using the surgical success criteria defined as intraocular pressure (IOP) ≤ 21 mmHg and ≥ 20% below baseline without the need for additional glaucoma surgery. Results: BCVA at the time of diagnosis was 0.37 ± 0.48 logMAR, which changed to 0.51 ± 0.56 logMAR at the final follow-up (P = 0.08). Twenty-five percent of patients had BCVA equal to or better than 20/40 at the final visit. The mean refraction at baseline was –4.78 ± 5.87 diopters, which changed to less myopic refraction of –2.90 ± 3.83 diopters at the final visit. Optical correction was prescribed in 66% of eyes at the final visit. The average final stereopsis was 395.33 sec of arc. The linear regression model showed a significant association between the surgery success rate and final BCVA as well as stereoacuity (P-values: 0.04 and 0.03, respectively). Intraocular pressure (IOP) decreased significantly from 29.79 ± 7.67 mmHg at baseline to 16.13 ± 3.41 mmHg at the final follow-up (P = 0.001). Conclusion: Patients with PCG can achieve an acceptable visual acuity and stereoacuity, particularly in cases of timely intervention and close follow-up. |
| Databáze: | OpenAIRE |
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